Employer
Pa Care At Home Services, LLC
3460 J St Unit 2, Philadelphia, PA 19134 · EIN 85-0846571 · Aug 1, 2024 to Jul 31, 2025
Plan year 2024
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $54,205
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Principal Life Insurance Company | Guru Business Solutions, LLC | 375 | $10,062 9.7% of $103,926 |
| Medical | Independence Blue Cross | — | 100 | Schedule A not provided |
| Other | Independence Blue Cross | — | 100 | Schedule A not provided |
Schedule C
Additional compensation
Plan-paid amounts to each named party on the filing, with the role they reported. This is not a carrier commission and is not added to Schedule A.
No Schedule C parties in this year.